Nestor, Bryan J
Nestor, Bryan J is an sole proprietor health care provider with primary practice located at 2090 Woodwinds Dr Ste 200 , Woodbury MN 55125-2522. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Nestor, Bryan J can be contacted via phone (651) 968-5201.Contact Information
Primary practice address
2090 Woodwinds Dr Ste 200
Woodbury MN 55125-2522
Phone: (651) 968-5201
Fax: (651) 968-5904
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 30036 | Minnesota |
Profile Details
| NPI number | 1487761102 |
|---|---|
| LBN Legal business name | Nestor, Bryan J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 25th, 2006 |
| Last updated | Dec 9th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487761102 | NPPES |
| New York | MEDICAID | 01706812 |
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